A nurse is collecting data from a child who has sickle disease and is experiencing a vaso-occlusive crisis. Which of the following findings should the nurse expect?
Pain
Vomiting
Constipation
Bradycardia
The Correct Answer is A
A. Pain: This is the most common and significant symptom of a vaso-occlusive crisis in sickle cell disease. The sickled cells block blood flow, leading to intense pain and tissue ischemia.
B. Vomiting: Vomiting is not a typical finding associated with a vaso-occlusive crisis. While it may occur due to other complications or treatments, it is not directly related to the crisis itself.
C. Constipation: Constipation is not a typical symptom of a vaso-occlusive crisis. It may occur due to decreased activity or medication side effects, but it is not directly linked to the sickle cell crisis.
D. Bradycardia: Bradycardia is not expected in a vaso-occlusive crisis. The crisis usually involves pain and stress, which might increase the heart rate rather than decrease it.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Bend forward from the waist with your head and arms downward." This position, known as the Adam’s forward bend test, is commonly used to screen for scoliosis. It allows the nurse to observe for any asymmetry in the rib cage or spine, which could indicate scoliosis.
B. "Lie prone on the examination table." Lying prone (face down) does not allow for the assessment of spinal curvature or rib asymmetry. This position is not useful for scoliosis screening.
C. "Touch your chin to your chest, and then look up at the ceiling." These movements assess neck flexibility and range of motion, which are not relevant for screening scoliosis.
D. "Turn to the side, and remain in a relaxed position." Turning to the side and relaxing does not provide the necessary view of the spine to assess for scoliosis. This position does not allow for a clear view of any asymmetry in the spine or ribs.
Correct Answer is A
Explanation
A. "You should bring the infant's favourite blanket to the hospital." Bringing the infant's favourite blanket can provide comfort and a sense of security in an unfamiliar hospital environment. It helps the child feel more at ease and can reduce anxiety and stress associated with hospitalization.
B. "You should begin to manipulate the infant's bedtime based on the hospital’s visiting hours." Disrupting the infant’s usual sleep routine can lead to increased stress and irritability. It is better to maintain familiar routines as much as possible to provide comfort and stability during the hospital stay.
C. "You should read the child a story about hospitalization." At 8 months, an infant may not comprehend stories about hospitalization. Reading stories is more effective for older children who can understand and process the information. The focus for infants should be on comfort and familiarity.
D. "You will need to go home when it is not visiting hours." Parents are typically encouraged to stay with their young children in the hospital whenever possible. Parental presence is crucial for the infant’s emotional well-being and can help reduce anxiety.
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